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t - ► <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: __ Z Z�S M7RTf�l �S-,�o�LC; Q2 <br /> PID: ' <br /> DESCRIPTION OF WORK �u.�r�crz 3� 2 <br /> ---------------=-------------------- - ----------------___..�- ------------------------------- <br /> ZONING REVIEW BY: ��� � DATE APPROVED: y-Z�-o�/ <br /> BUILDING REVIEW BY: _ DATE APPROVED: y-L 7-o Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLANREVIEW Yes �/ No SEWER CONNECT70N <br /> STATE SURCHARGE Yes v� No WATER CONNECT70N <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: c, <br /> Fire Department: Post O,�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: W land: <br /> Building Height: Def. Hgt. eak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg.Setback: Bluff Setba k: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' . <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: � <br /> REMARKS(in house): <br /> 32 <br />